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Research Article

The Role of Insomnia and Exercise in COVID-19 Worries for Psychological Distress in Hong Kong Chinese: A Moderated Mediation Model

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References

  • Ahmed, O., Ahmed, M. Z., Alim, S. M. A. H. M., Khan, M. D. A. U., & Jobe, M. C. (2022). COVID-19 outbreak in Bangladesh and associated psychological problems: An online survey. Death Studies, 46(5), 1080–1089. https://doi.org/10.1080/07481187.2020.1818884
  • Ahn, J. H., & Nam, J. Y. (2022). Do the self-reported changes in physical activity after the emergence of the COVID-19 pandemic associate with major depression according to moderate to vigorous physical activity status? Journal of Physical Activity and Health, 19(7), 518–526. https://doi.org/10.1123/jpah.2022-0049
  • Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Sage.
  • Amiri, S., Hasani, J., & Satkin, M. (2021). Effect of exercise training on improving sleep disturbances: A systematic review and meta-analysis of randomized control trials. Sleep Medicine, 84, 205–218. https://doi.org/10.1016/j.sleep.2021.05.013
  • Banno, M., Harada, Y., Taniguchi, M., Tobita, R., Tsujimoto, H., Tsujimoto, Y., Kataoka, Y., & Noda, A. (2018). Exercise can improve sleep quality: A systematic review and meta-analysis. PeerJ, 6, e5172. https://doi.org/10.7717/peerj.5172
  • Barber, S. J., & Kim, H., Isaacowitz, D. (2021). COVID-19 worries and behavior changes in older and younger men and women. The Journals of Gerontology: Series B, 76(2), e17–e23. https://doi.org/10.1093/geronb/gbaa068
  • Bastien, C. H., Vallières, A., & Morin, C. M. (2001). Validation of the Insomnia severity index as an outcome measure for insomnia research. Sleep Medicine, 2(4), 297–307. https://doi.org/10.1016/S1389-9457(00)00065-4
  • Blay, S. L., Landerman, L. R., & Fillenbaum, G. G. (2016). Is higher frequency of physical activity associated with reduced prevalence of depression among older community residents? A study from Brazil. Journal of the American Geriatrics Society, 64(9), e42–e44. https://doi.org/10.1111/jgs.14335
  • Blix, I., Birkeland, M. S., & Thoresen, S. (2021). Worry and mental health in the covid-19 pandemic: Vulnerability factors in the general Norwegian population. BMC Public Health, 21(1), 928. https://doi.org/10.1186/s12889-021-10927-1
  • Brand, R., Timme, S., & Nosrat, S. (2020). When pandemic hits: Exercise frequency and subjective well-being during COVID-19 pandemic. Frontiers in Psychology, 11, 570567. https://doi.org/10.3389/fpsyg.2020.570567
  • Brosschot, J. F., Gerin, W., & Thayer, J. F. (2006). The perseverative cognition hypothesis: A review of worry, prolonged stress-related physiological activation, and health. Journal of Psychosomatic Research, 60(2), 113–124. https://doi.org/10.1016/j.jpsychores.2005.06.074
  • Cheung, D. S. T., Yu, B. Y. M., Lam, S. C., Leung, D. Y. P., Chung, K. F., Ho, F. Y. Y., Chen, S. C., & Yeung, W. F. (2023). A longitudinal study on the change in sleep across three waves of the COVID‑19 outbreaks in Hong Kong sleep and biological. Rhythms. https://doi.org/10.1007/s41105-023-00486-w
  • Chung, K. F., Kan, K. K., & Yeung, W. F. (2011). Assessing insomnia in adolescents: Comparison of insomnia severity index, Athens insomnia scale and sleep quality index. Sleep Medicine, 12(5), 463–470. https://doi.org/10.1016/j.sleep.2010.09.019
  • Clancy, F., Prestwich, A., Caperon, L., Tsipa, A., & O’Connor, D. B. (2020). The association between worry and rumination with sleep in non-clinical populations: A systematic review and meta-analysis. Health Psychology Review, 14(4), 427–448. https://doi.org/10.1080/17437199.2019.1700819
  • Cox, R. C., & Olatunji, B. O. (2021). Sleep in a pandemic: Implications of COVID-19 for sleep through the lens of the 3P model of insomnia. American Psychologist, 76(7), 1159. https://doi.org/10.1037/amp0000850
  • Dalal, D. K., & Zickar, M. J. (2012). Some common myths about centering predictor variables in moderated multiple regression and polynomial regression. Organizational Research Methods, 15(3), 339–362. https://doi.org/10.1177/1094428111430540
  • Dubinina, E., Korostovtseva, L. S., Rotar, O., Amelina, V., Boyarinova, M., Bochkarev, M., Shashkova, T., Baranova, E., Libis, R., Duplyakov, D., Sviryaev, Y., Konradi, A., & Shlyakhto, E. (2021). Physical activity is associated with sleep quality: Results of the ESSE-RF epidemiological study. Frontiers in Psychology, 12, 3263. https://doi.org/10.3389/fpsyg.2021.705212
  • Fukuoka, Y., Haskell, W., & Vittinghoff, E. (2016). New insights into discrepancies between self-reported and accelerometer-measured moderate to vigorous physical activity among women–the mPED trial. BMC Public Health, 16(1), 761. https://doi.org/10.1186/s12889-016-3348-7
  • Hartescu, I., & Morgan, K. (2019). Regular physical activity and insomnia: An international perspective. Journal of Sleep Research, 28(2), e12745. https://doi.org/10.1111/jsr.12745
  • Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new,illennium. Communication Monographs, 76(4), 408–420. https://doi.org/10.1080/03637750903310360
  • Hayes, A. F. (2015). An index and test of linear moderated mediation. Multivariate Behavioral Research, 50(1), 1–22. https://doi.org/10.1080/00273171.2014.962683
  • Hermosilla, S., Forthal, S., Sadowska, K., Magill, E. B., Watson, P., & Pike, K. M. (2022). We need to build the evidence: A systematic review of psychological first aid on mental health and well-being. Journal of Traumatic Stress, 36(1), 5–16. Online ahead of print. https://doi.org/10.1002/jts.22888
  • Ho, F. Y. Y., Chung, K. F., Yeung, W. F., Ng, T. H., Kwan, K. S., Yung, K. P., & Cheng, S. K. (2015). Self-help cognitive-behavioral therapy for insomnia: A meta-analysis of randomized controlled trials. Sleep Medicine Reviews, 19, 17–28. https://doi.org/10.1016/j.smrv.2014.06.010
  • Holmes, E. A., O’Connor, R. C., Perry, V. H., Tracey, I., Wessely, S., Arseneault, L., Ballard, C., Christensen, H., Silver, R. C., Everall, I., Ford, T., John, A., Kabir, T., King, K., Madan, I., Michie, S., Przybylski, A. K., Shafran, R. … Hotopf, M. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science. The Lancet Psychiatry, 7(6), 547–560. https://doi.org/10.1016/S2215-0366(20)30168-1
  • Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
  • Hyun, S., Hahm, H. C., Wong, G. T. F., Zhang, E., & Liu, C. H. (2021). Psychological correlates of poor sleep quality among US young adults during the COVID-19 pandemic. Sleep Medicine, 78, 51–56. https://doi.org/10.1016/j.sleep.2020.12.009
  • IPAQ Research Committee. (2004). Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ)-Short and Long Forms. http://www.physio-pedia.com/images/c/c7/Quidelines_for_interpreting_the_IPAQ.pdf
  • Jahrami, H., BaHammam, A. S., Bragazzi, N. L., Saif, Z., Faris, M., & Vitiello, M. V. (2021). Sleep problems during the COVID-19 pandemic by population: A systematic review and meta-analysis. Journal of Clinical Sleep Medicine, 17(2), 299–313. https://doi.org/10.5664/jcsm.8930
  • Kalmbach, D. A., Cuamatzi-Castelan, A. S., Tonnu, C. V., Tran, K. M., Anderson, J. R., Roth, T., & Drake, C. L. (2018). Hyperarousal and sleep reactivity in insomnia: Current insights. Nature and Science of Sleep, 10, 193–201. https://doi.org/10.2147/NSS.S138823
  • Kämpfen, F., Kohler, I. V., Ciancio, A., Bruine de Bruin, W., Maurer, J., Kohler, H. P., & Kwon, Y. D. (2020). Predictors of mental health during the Covid-19 pandemic in the US: Role of economic concerns, health worries and social distancing. PloS One, 15(11), e0241895. https://doi.org/10.1371/journal.pone.0241895
  • Killgore, W. D., Cloonan, S. A., Taylor, E. C., Fernandez, F., Grandner, M. A., & Dailey, N. S. (2020). Suicidal ideation during the COVID-19 pandemic: The role of insomnia. Psychiatry Research, 290, 113134. https://doi.org/10.1016/j.psychres.2020.113134
  • Kline, C. E., Hillman, C. H., Sheppard, B. B., Tennant, B., Conroy, D. E., Macko, R. F., Marquez, D. X., Petruzzello, S. J., Powell, K. E., & Erickson, K. I. (2021). Physical activity and sleep: An updated umbrella review of the 2018 physical activity guidelines advisory committee report. Sleep Medicine Reviews, 58, 101489. https://doi.org/10.1016/j.smrv.2021.101489
  • Kocevska, D., Blanken, T. F., Van Someren, E. J., & Rösler, L. (2020). Sleep quality during the COVID-19 pandemic: Not one size fits all. Sleep Medicine, 76, 86–88. https://doi.org/10.1016/j.sleep.2020.09.029
  • Kredlow, M. A., Capozzoli, M. C., Hearon, B. A., Calkins, A. W., & Otto, M. W. (2015). The effects of physical activity on sleep: A meta-analytic review. Journal of Behavioral Medicine, 38(3), 427–449. https://doi.org/10.1007/s10865-015-9617-6
  • Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
  • Lam, C. S., Yu, B. Y., Cheung, D. S. T., Cheung, T., Lam, S. C., Chung, K. F., Ho, F. Y., & Yeung, W. F. (2021). Sleep and mood disturbances during the COVID-19 outbreak in an urban Chinese population in Hong Kong: A longitudinal study of the second and third waves of the outbreak. International Journal of Environmental Research and Public Health, 18(16), 8444. https://doi.org/10.3390/ijerph18168444
  • Lederman, O., Ward, P. B., Firth, J., Maloney, C., Carney, R., Vancampfort, D., Stubbs, B., Kalucy, M., & Rosenbaum, S. (2019). Does exercise improve sleep quality in individuals with mental illness? A systematic review and meta-analysis. Journal of Psychiatric Research, 109, 96–106. https://doi.org/10.1016/j.jpsychires.2018.11.004
  • Lee, P. H., Yu, Y. Y., McDowell, I., Leung, G. M., Lam, T. H., & Stewart, S. M. (2011). Performance of the international physical activity questionnaire (short form) in subgroups of the Hong Kong Chinese population. International Journal of Behavioral Nutrition and Physical Activity, 8(1), 1–10. https://doi.org/10.1186/1479-5868-8-81
  • Lehmann, S., Skogen, J. C., Haug, E., Mæland, S., Fadnes, L. T., Sandal, G. M., Hysing, M., & Bjørknes, R. (2021). Perceived consequences and worries among youth in Norway during the COVID-19 pandemic lockdown. Scandinavian Journal of Public Health, 49(7), 755–765. https://doi.org/10.1177/1403494821993714
  • Lesser, I. A., & Nienhuis, C. P. (2020). The impact of COVID-19 on physical activity behavior and well-being of Canadians. International Journal of Environmental Research and Public Health, 17(11), 3899. https://doi.org/10.3390/ijerph17113899
  • Liu, T., Lu, S., Leung, D. K. Y., Sze, L. C. Y., Kwok, W. W., Tang, J. Y. M., Luo, H., Lum, T. Y. S., & Wong, G. H. Y. (2020). Adapting the UCLA 3-item loneliness scale for community-based depressive symptoms screening interview among older Chinese: A cross-sectional study. British Medical Journal Open, 10(12), e041921. https://doi.org/10.1136/bmjopen-2020-041921
  • Louvardi, M., Pelekasis, P., Chrousos, G. P., & Darviri, C. (2020). Mental health in chronic disease patients during the COVID-19 quarantine in Greece. Palliative and Supportive Care, 18(4), 394–399. https://doi.org/10.1017/S1478951520000528
  • Lowe, H., Haddock, G., Mulligan, L. D., Gregg, L., Fuzellier-Hart, A., Carter, L.-A., & Kyle, S. D. (2019). Does exercise improve sleep for adults with insomnia? A systematic review with quality appraisal. Clinical Psychology Review, 68, 1–12. https://doi.org/10.1016/j.cpr.2018.11.002 [Record #28 is using a reference type undefined in this output style.]
  • Mahase, E. (2020). Covid-19: Mental health consequences of pandemic need urgent research, paper advises. BMJ, 15. https://doi.org/10.1136/bmj.m15
  • Makizako, H., Kiyama, R., Nishimoto, D., Nishio, I., Masumitsu, T., Ikeda, Y., Hisamatsu, M., Shimizu, S., Mizuno, M., Wakamatsu, M., Inoue, N., Tabira, T., Ohshige, T., Yamashita, A., & Nagano, S. (2021). Association between regular exercise and self-rated health and sleep quality among adults in Japan during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 18(19), 10515. https://doi.org/10.3390/ijerph181910515
  • Martínez-de-Quel, Ó., Suárez-Iglesias, D., López-Flores, M., & Pérez, C. A. (2021). Physical activity, dietary habits and sleep quality before and during COVID-19 lockdown: A longitudinal study. Appetite, 158, 105019. https://doi.org/10.1016/j.appet.2020.105019
  • Maugeri, G., Castrogiovanni, P., Battaglia, G., Pippi, R., D’Agata, V., Palma, A., Di Rosa, M., & Musumeci, G. (2020). The impact of physical activity on psychological health during Covid-19 pandemic in Italy. Heliyon, 6(6), e04315. https://doi.org/10.1016/j.heliyon.2020.e04315
  • McDonough, D. J., Helgeson, M. A., Liu, W., & Gao, Z. (2022). Effects of a remote, YouTube-delivered exercise intervention on young adults’ physical activity, sedentary behavior, and sleep during the COVID-19 pandemic: Randomized controlled trial. Journal of Sport and Health Science, 11(2), 145–156. https://doi.org/10.1016/j.jshs.2021.07.009
  • Morin, C. M., Belleville, G., Bélanger, L., & Ivers, H. (2011). The Insomnia severity index: Psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep, 34(5), 601–608. https://doi.org/10.1093/sleep/34.5.601
  • Nochaiwong, S., Ruengorn, C., Thavorn, K., Hutton, B., Awiphan, R., Phosuya, C., Ruanta, Y., Wongpakaran, N., & Wongpakaran, T. (2021). Global prevalence of mental health issues among the general population during the coronavirus disease-2019 pandemic: A systematic review and meta-analysis. Scientific Reports, 11(1), 1–18. https://doi.org/10.1038/s41598-021-89700-8
  • Nordberg, H., Kroll, J. L., Rosenfield, D., Chmielewski, M., & Ritz, T. (2022). Chronic stress experience, sleep, and physical activity: Relations with change in negative affect and acute stress response to a naturalistic stressor. British Journal of Health Psychology, 27(2), 449–467. https://doi.org/10.1111/bjhp.12554
  • Pastuszak, A., Lisowski, K., Lewandowska, J., & Buśko, K. (2014). Level of physical activity of physical education students according to criteria of the IPAQ questionnaire and the recommendation of WHO experts. Biomedical Human Kinetics, 6(1), 5–11. https://doi.org/10.2478/bhk-2014-0002
  • Perlis, M. L., Grandner, M. A., Chakravorty, S., Bernert, R. A., Brown, G. K., & Thase, M. E. (2016). Suicide and sleep: Is it a bad thing to be awake when reason sleeps? Sleep Medicine Reviews, 29, 101–107. https://doi.org/10.1016/j.smrv.2015.10.003
  • Pomeroy, I. M., Clark, C. R., & Philp, I. (2001). The effectiveness of very short scales for depression screening in elderly medical patients. International Journal of Geriatric Psychiatry, 16(3), 321–326. https://doi.org/10.1002/gps.344
  • R Core Team. (2021). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna. https://www.R-project.org/
  • Rosseel, Y. (2012). Lavaan: An R package for structural equation modeling. Journal of Statistical Software, 48(2), 1–36. https://doi.org/10.18637/jss.v048.i02
  • Ruan, J., Chen, S., Liang, J., Mak, Y. W., Ho, F., Chung, K. F., Kwok, A., Zhang, X. L., & Yeung, W. F. (2022). Acceptance and commitment therapy for insomnia and sleep quality: A systematic review and meta-analysis. Journal of Contextual Behavioral Science, 26, 139–155. https://doi.org/10.1016/j.jcbs.2022.09.002
  • Saalwirth, C., & Leipold, B. (2021). Well‐being and sleep in stressful times of the COVID‐19 pandemic: Relations to worrying and different coping strategies. Stress and Health, 37(5), 973–985. https://doi.org/10.1002/smi.3057
  • Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine, 166, 1092–1097. https://doi.org/10.1001/archinte.166.10.1092
  • Tong, X., An, D., McGonigal, A., Park, S. P., & Zhou, D. (2016). Validation of the generalized anxiety disorder-7 (GAD-7) among Chinese people with epilepsy. Epilepsy Research, 120, 31–36. https://doi.org/10.1016/j.eplepsyres.2015.11.019
  • Uygur, Ö. F., Uygur, H., Demiröz, D., & Ahmed, O. (2022). COVID-19 worry and related factors: Turkish adaptation and psychometric properties of the COVID-19 worry scale. Alpha Psychiatry, 23(6), 276–283. https://doi.org/10.5152/alphapsychiatry.2022.22926
  • Varga, T. V., Bu, F., Dissing, A. S., Elsenburg, L. K., Bustamante, J. J. H., Matta, J., van Zon, S. K., Brouwer, S., Bültmann, U., & Fancourt, D., Hoeyer, K., Goldberg, M., Melchior, M., Strandberg-Larsen, K., Zins, M., Clotworthy, A., Rod, N H. (2021). Loneliness, worries, anxiety, and precautionary behaviours in response to the COVID-19 pandemic: A longitudinal analysis of 200,000 Western and northern europeans. The Lancet Regional Health-Europe, 2, 100020. https://doi.org/10.1016/j.lanepe.2020.100020
  • Violant-Holz, V., Gallego-Jiménez, M. G., González-González, C. S., Muñoz-Violant, S., Rodríguez, M. J., Sansano-Nadal, O., & Guerra-Balic, M. (2020). Psychological health and physical activity levels during the COVID-19 pandemic: A systematic review. International Journal of Environmental Research and Public Health, 17(24), 9419. https://doi.org/10.3390/ijerph17249419
  • von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., Vandenbroucke, J. P., & STROBE Initiative. (2008). The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. Journal of Clinical Epidemiology, 61(4), 344–349.
  • Wang, F., & Boros, S. (2021). The effect of physical activity on sleep quality: A systematic review. European Journal of Physiotherapy, 23(1), 11–18. https://doi.org/10.1080/21679169.2019.1623314
  • Webb, L. M., & Chen, C. Y. (2022). The COVID‐19 pandemic’s impact on older adults’ mental health: Contributing factors, coping strategies, and opportunities for improvement. International Journal of Geriatric Psychiatry, 37(1). Advance online publication. https://doi.org/10.1002/gps.5647
  • Wicker, P., & Orlowski, J. (2021). Coping with adversity: Physical activity as a moderator in adaption to bereavement. Journal of Public Health, 43(2), e196–e203. https://doi.org/10.1093/pubmed/fdaa059
  • World Health Organization. (2020). Guidelines for physical activity and sedentary behaviour.
  • Wright, L., Steptoe, A., Fancourt, D., & Vickers, K. (2021). Are adversities and worries during the COVID-19 pandemic related to sleep quality? Longitudinal analyses of 46,000 UK adults. PloS One, 16(3), e0248919. https://doi.org/10.1371/journal.pone.0248919
  • Yeung, W. F., Chung, K. F., Yung, K. P., Kwok, C. W., Yu, Y. M., & Ho, Y. Y., Kwok, C-W. (2014). The use of conventional and complementary therapies for insomnia: A telephone survey in Hong Kong. Complementary Therapies in Medicine, 22(5), 894–902. https://doi.org/10.1016/j.ctim.2014.08.001
  • Yeung, W. F., Lai, A. Y., Ho, F. Y., Suen, L. K., Chung, K. F., Ho, J. Y., Ho, L. M., Yu, B. Y., Chan, L. Y., & Lam, T. H. (2018). Effects of zero-time exercise on inactive adults with insomnia disorder: A pilot randomized controlled trial. Sleep Medicine, 52, 118–127. https://doi.org/10.1016/j.sleep.2018.07.025
  • Yu, B. Y. M., Lam, J. C. S., Lam, S. C., Li, Y., Chen, S., Lam, M. Y., & Yeung, W. F. (2022). COVID-19 vaccine hesitancy and resistance in an urban Chinese population of Hong Kong: A cross-sectional study. Human Vaccines & Immunotherapeutics, 18(5), 2072144. https://doi.org/10.1080/21645515.2022.2072144
  • Yu, B. Y. M., Yeung, W. F., Lam, J. C. S., Yuen, S. C. S., Lam, S. C., Chung, V. C. H., Chung, K. F., Lee, P. H., Ho, F. Y. Y., & Ho, J. Y. S. (2020). Prevalence of sleep disturbances during COVID-19 outbreak in an Urban Chinese population: A cross-sectional study. Sleep Medicine, 74, 18–24. https://doi.org/10.1016/j.sleep.2020.07.009
  • Zhang, Y., Ting, R., Lam, M., Lam, J., Nan, H., Yeung, R., Yang, W., Ji, L., Weng, J., Wing, Y. K., Sartorius, N., & Chan, J. C. N. (2013). Measuring depressive symptoms using the patient health questionnaire-9 in Hong Kong Chinese subjects with type 2 diabetes. Journal of Affective Disorders, 151, 660–666. https://doi.org/10.1016/j.jad.2013.07.014
  • Zhang, Y., Zhang, H., Ma, X., & Di, Q. (2020). Mental health problems during the COVID-19 pandemics and the mitigation effects of exercise: A longitudinal study of college students in China. International Journal of Environmental Research and Public Health, 17(10), 3722. https://doi.org/10.3390/ijerph17103722

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